Mothers' Satisfaction Rate from Hospital Cares in Hematology- Oncology Ward.

Background Satisfaction evaluation is a good way to assess hospital conditions. In Health Care System, parentscan be also as children's main supporters, thus they may act as patient's viewpoints' representatives.This study aimed to evaluate mother’s satisfaction of hospital care in hematology – oncology ward in Dr Sheikh hospital. Materials and Methods A Cross-sectional descriptive analytic study was conducted using Pediatric Family Satisfaction (PFS) questionnaire and interviewing with 164 mothers duringMarchto February2013. The obtained data were analyzed using SPSS -16 software and descriptive statistics. Results The mean age of mothers and children was31.2±5.8, and 7.95 4/66 years.The children were 64 % male and 36 % femael. A large number of mothers (%56 (describedtheir satisfaction about medical care as moderate,(%70.7) reported their satisfaction about nursing care at very high level and(36.5 %) reported satisfaction about welfare services at high level(59%)and describe overall satisfaction at very high level . The totals mean of mothers’ satisfaction ratewas 121.8 ± 10.8. The mean of medical care, nursing care, welfare services was 2.9±34.1,4.6±50 and4.8± 32.9 respectively. Conclusion Overall satisfaction with medical, nursing and welfare staff was acceptable. For more satisfaction, it is widely recommended to improve veinipuncture by nurses, Physicians should inform parents about the tests results, and finally disturbance in ward with noise should be controled.


Abstract Background
Satisfaction evaluation is a good way to assess hospital conditions. In Health Care System, parentscan be also as children's main supporters, thus they may act as patient's viewpoints' representatives.This study aimed to evaluate mother's satisfaction of hospital care in hematology -oncology ward in Dr Sheikh hospital.

Materials and Methods
A Cross-sectional descriptive analytic study was conducted using Pediatric Family Satisfaction (PFS) questionnaire and interviewing with 164 mothers duringMarchto February2013. The obtained data were analyzed using SPSS -16 software and descriptive statistics.

Results
The mean age of mothers and children was31.2±5. 8

Conclusion
Overall satisfaction with medical, nursing and welfare staff was acceptable. For more satisfaction, it is widely recommended to improve veinipuncture by nurses, Physicians should inform parents about the tests results, and finally disturbance in ward with noise should be controled.

Introduction
New movement in health industries have been initiated towards continuous quality improvement and this phenomenhas gained momentum since 1990 .According to Donabedian's declaration for incorporating patient perception into quality assessment, healthcare managers incorporate patient centered care as a major component in the healthcare mission(1). The healthcare managers who endeavor to achieve excellence take patient perception into account when designing the strategies forquality improvement of care. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance (2). In 1996, evaluation of patient satisfaction was mandatory for all French hospitals (3). Since 2005, measuring satisfaction has been considered as an obligatory element of quality management reports in Germany(4).Since 2002, the Department of Health (DOH) has launched a national survey program in which all NHS trusts in England have to seek patient satisfaction on an annual basis and report the obtained results to their regulators (5). Therefore, measurement of patient satisfaction is a legitimate indicator for improving the services and strategic goals for all healthcare organizations (6).The most important outcome of pediatric care is the improvement of the child's health or reduction of symptoms. However, parents' satisfaction is associated with such central outcomes, including adherence to the therapeutic regimen and understanding of medical information, parents' satisfaction with care can be considered a good proxy variable for some important aspects of quality care (7). Unfortunately, until now, parental experience with pediatric inpatient care has not been carefully explored. (8).In general, satisfaction is consideredas as a key measure in care quality; however, different attitudes toward the prominence of various issues are not commonly included in the studies. (9).Satisfaction evaluation is a good way to assess hospital conditions. In Health Care System, parents considered as children's main supporters, thus they may act as the patient's viewpoints' representatives.Thisstudy aimed to evaluate mother's satisfaction of hospital care in hematology -oncology ward in Dr Sheikh hospital.

Materials and Methods
A Cross-sectional descriptive analytic study was conducted using Pediatric Family Satisfaction (PFS) questionnaire and interviewing with 164 mothers during 2013. The interview was done after discharging from the hospital. Questionnaire: The questions reflected 3 dimensions: medical care (9 items), nursing care (11 items), and welfare services (8 items). For each item, the parents were asked to assess what they found most important on a 5-point Likert scale, from excellent to not applicable. The questionnaire also included items on mother characteristics: age and education. The pilot studywasdone and had a pretest of questionnaire in 15 parents.For reliability we use internal consistency. The Cronbach α score for 3 dimensions was 0.9. The distribution ofthe responses were normal. To describe Motherssatisfaction Rate from hospital cares, the mean score of each item was calculated using scores from 1 to 5 on the rating scale. Statistical analysis was carried out using SPSS 16 statistical software (SPSS Inc, Chicago, Ill). Statistical significance was set at P<.05.We also used Anova and t-test.

Results
The mean age of mothers and children were 31.2±5.8 and 7.95 4.66 years, respectively. The children were 64 % male and 36 % female. A large number of mothers(%56 (described their satisfaction as follow:about medical care as moderate,(%70.7) about nursing care at very high level, and(36.5 %) about welfare services at high level(59%)and very high level about all aspect. The total mean of Mothers' Satisfaction Rate was 121.8 ± 10.8 .The mean of medical care, nursing care, and welfare services were2.9 ± 34.1 406±50and4.8± 2.9, respectively.Regarding medical care The main points, evaluated weakly, in order of importance included as follows: to inform parents about the tests results (29.9 %), regarding nursing care :doing veinipuncture (4.9%) and in regard to welfare services: disturbance in ward with noise(1.8%). There is a negative relationship between mother's education and mother's satisfaction (ANOVA, p=0.007).     Noise disrupts the peace of mothers and their children and since psychological state of them is not stable, the noise can make bad Situation for them. ; therefore, noise control is essential in the ward. In this study, overall satisfaction in children with mother's education with bachelor's degree was lower (ANOVA, p=0.002).The obtained findings revealed that There is a negative relationship between mother's education and mother's satisfaction.Pourmovahed and etal in their researchshowed the same) (10).

Conclusion
Overall satisfaction reported excellent in oncologic ward of this hospital.To satisfy mothers and improve their satisfactionit is necessaryto inform parents about the tests results, veinipuncture should be done by expert nurses and thenoiseshould be control in ward. There is a growing interest in mother's satisfaction as an outcome of care and as an indicator of the quality of care. Interest in mother's satisfaction with pediatric care is not new, but research in this field is limited.